Individual
DR. MARYAM RAZAVI GHODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A106175
CA
207L00000X
Anesthesiology Physician
Primary
MD167628
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500673798
—
OR
Enumeration date
04/06/2009
Last updated
10/12/2018
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